National Provider Identifier
Amir-Eldin Hussni Omar, DDS
Amir-Eldin Hussni Omar, DDS is listed in the NPPES registry with a primary specialty of Dentist in Ithaca, NY and a listed phone number of (607) 272-3433.
Profile Overview
- NPI
- 1548948300
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- July 10, 2023
- Last Updated
- July 28, 2024
Practice Location
- 2333 N Triphammer RD Ste 304
- Ithaca, NY 14850-1075
Phone: (607) 272-3433
Mailing Address
- 120 Highgate RD
- Ithaca, NY 14850-1470
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1548948300
- Entity Type
- Individual
- Last Name
- Omar
- First Name
- Amir-Eldin
- Middle Name
- Hussni
- Credential
- DDS
- Mailing Street Address
- 120 Highgate RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1470
- Mailing Country
- US
- Practice Street Address
- 2333 N Triphammer RD Ste 304
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1075
- Practice Country
- US
- Practice Phone
- (607) 272-3433
- Enumeration Date
- July 10, 2023
- Last Updated
- July 28, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 28, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)